Department of Physiotherapy, Lovely Professional University, Jalandhar-Delhi, Grand Trunk Road, Phagwara, 144001, India.
Injury. 2023 Dec;54(12):111116. doi: 10.1016/j.injury.2023.111116. Epub 2023 Oct 11.
BACKGROUND: Motor impairment is a significant health concern among post-stroke patients. Transcranial magnetic stimulation (TMS) is considered as an emerging rehabilitation therapy for various neurological conditions, and the effects of excitatory TMS on post-stroke have received much attention in past decade. However, the future hotspots and content analysis on the growth trends have not been studied. This bibliometric and content analysis aimed to study the global developmental history and current status of TMS for motor function of post-stroke from January 2004 to July 2023. METHODS: Literature published on Scopus database from January 2004 to July 2023 were searched. Extracted data was analysed using the R studio and VOS viewer for author's publication, institutions, sources, keyword co-occurrence and world network analysis. Keyword cluster analysis, co-citation analysis for references and content analysis were also performed. We screened top 10 most cited or collaborative areas for publications, institutions and sources in the field of TMS associated with motor function of post-stroke. RESULTS: In this study, a comprehensive analysis of 267 publications was conducted, revealing a substantial surge in research output throughout 2022. China emerged as the leading contributor, with 409 publications, followed by the United States with 211 publications. Notably, Harvard Medical School stood out as one of the most prolific institutions, accounting for 34 publications (13.12 %). Among researchers, Abo M garnered the highest publication count, with 9 articles (14.5 %). The Word cloud showed that motor function, repetitive transcranial magnetic stimulation (rTMS) and upper limb have been the focus of recent attention. Burst keywords on thematic evolution and topic trend shows that quality of life scale, network parameters, cognition, lower limb motor function are the future trends. CONCLUSION: This bibliometric study describes that TMS has shown promising results in improving motor function of upper extremity in stroke patients, the long-term effects and durability of these improvements are still being investigated. Future research might focus on understanding the optimal duration and frequency of TMS sessions for sustained motor recovery and exploring strategies to maintain gains achieved through TMS over extended periods of time. Future studies can investigate the changes in the lower limb motor function.
背景:运动障碍是脑卒中患者的一个重大健康问题。经颅磁刺激(TMS)被认为是一种新兴的神经康复治疗方法,用于治疗各种神经系统疾病,在过去十年中,TMS 对脑卒中后患者的影响受到了广泛关注。然而,尚未对其增长趋势的未来热点和内容进行研究。本研究通过文献计量学和内容分析,旨在研究 2004 年 1 月至 2023 年 7 月 TMS 对脑卒中后运动功能的全球发展历史和现状。
方法:检索 2004 年 1 月至 2023 年 7 月在 Scopus 数据库上发表的文献。使用 R 工作室和 Vos 查看器提取数据,并对作者发表的文章、机构、来源、关键词共现和世界网络分析进行分析。还进行了关键词聚类分析、参考文献的共引分析和内容分析。我们筛选了 TMS 相关的脑卒中后运动功能领域的出版物、机构和来源中排名前 10 的最具引用或合作的领域。
结果:本研究对 267 篇出版物进行了综合分析,结果表明研究产出在 2022 年大幅增加。中国是主要贡献者,发表了 409 篇论文,其次是美国,发表了 211 篇论文。值得注意的是,哈佛大学医学院是最具影响力的机构之一,发表了 34 篇论文(占 13.12%)。在研究人员中,Abo M 的论文发表数量最多,有 9 篇(占 14.5%)。词云图显示,运动功能、重复经颅磁刺激(rTMS)和上肢一直是近期关注的焦点。突发关键词的主题演变和主题趋势显示,生活质量量表、网络参数、认知、下肢运动功能是未来的趋势。
结论:本研究通过文献计量学描述了 TMS 在改善脑卒中患者上肢运动功能方面的疗效,但其长期效果和耐久性仍在研究中。未来的研究可能集中在理解 TMS 治疗的最佳持续时间和频率,以实现持续的运动恢复,并探索在延长时间内保持通过 TMS 获得的收益的策略。未来的研究可以进一步探讨下肢运动功能的变化。
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